Korean J Nephrol.  2003 Jan;22(1):156-160.

Primary Aldosteronism Complicated with Chronic Renal Failure

Affiliations
  • 1Department of Internal Medicine Nephrology, College of Medicine, Yonsei University, Seoul, Korea. khchoi6@yumc.yonsei.ac.kr
  • 2Department of Pathology, College of Medicine, Yonsei University, Seoul, Korea.

Abstract

Primary aldosteronism is a disease entity characterized by hypertension, hypokalemia, metabolic alkalosis and muscle weakness. Aldosteronoma is the most common cause of primary aldosteronism. The prevalence of primary aldosteronism in patients with hypertension appears to be low, less than 1%. However, primary aldosteronism is the one of common cause of secondary hypertension that is one of a few potentially curable forms of hypertension by surgical treament. The malignant hypertension in primary aldosteronism is very rare and the renal vascular damage due to hypertension seldom occurs. There has been no known reports about primary aldosteronism complicated with chronic renal failure in Korea. We report the rare case of primary aldosteronism in patient with hypokalemia, metabolic alkalosis complicated with chronic renal failure due to malignant hypertension with evident nephrosclerosis.

Keyword

Primary aldosteronism; Chronic renal failure; Malignant hypertension; Nephrosclerosis

MeSH Terms

Alkalosis
Humans
Hyperaldosteronism*
Hypertension
Hypertension, Malignant
Hypokalemia
Kidney Failure, Chronic*
Korea
Muscle Weakness
Nephrosclerosis
Prevalence
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